KYLIE JUPP
NPI 1063157220
Counselor - Mental Health in North Augusta, SC
Active since May 02, 2022
About Kylie Jupp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLIE JUPP (NPI 1063157220) is an individual mental health provider in North Augusta, South Carolina, licensed in Georgia (8040) and active in the NPI registry since May 2022.
NPPES Registry Identity
NPI1063157220
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYLIE JUPP
Location Address812 HAMMOND DRNorth Augusta, SC 29841-3228
Mailing AddressPo Box 9443Augusta, GA 30916-9443 · (706) 750-4375
Phone(706) 750-4275
Sole ProprietorYes
Enumeration DateMay 2, 2022
NPPES CertifiedMay 2, 2022
✔ NPI 1063157220 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · 8040
812 HAMMOND DR, North Augusta, SC 29841
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063157220, enumerated as an "individual" on May 02, 2022.
The provider is located at 812 HAMMOND DR NORTH AUGUSTA, SC 29841 and the phone number is (706) 750-4275.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
